Operative Unit of Neurosurgery, Nuovo Ospedale Civile, Modena, Italy.
Neurosurg Focus. 2010 Sep;29(3):E9. doi: 10.3171/2010.6.FOCUS10133.
Symptomatic brainstem cavernous malformations carry a high risk of permanent neurological deficit related to recurrent hemorrhage, which justifies aggressive management. Detailed knowledge of the microscopic and surface anatomy is important for understanding the clinical presentation, predicting possible surgical complications, and formulating an adequate surgical plan. In this article the authors review and illustrate the surgical and microscopic anatomy of the brainstem, provide anatomoclinical correlations, and illustrate a few clinical cases of cavernous malformations in the most common brainstem areas.
症状性脑干海绵状血管畸形有反复出血导致永久性神经功能缺损的高风险，因此需要积极治疗。详细了解显微和表面解剖结构对于理解临床表现、预测可能的手术并发症以及制定适当的手术计划非常重要。本文作者复习并阐述了脑干的手术和显微解剖，提供了解剖-临床相关性，并展示了几个最常见的脑干区域海绵状血管畸形的临床病例。
